Kelli Ann Peterson, RN - Licensed Practical Nurse in Pendleton, OR

Kelli Ann Peterson, RN is a Licensed Practical Nurse based in Pendleton, Oregon. Kelli Ann Peterson is licensed to practice in Oregon (license number 200843278RN) and her current practice location is 73265 Confederated Way, Pendleton, Oregon. She can be reached at her office (for appointments etc.) via phone at (541) 966-9830.

NPI number for Kelli Ann Peterson is 1225276124 and her current mailing address is 1011 Sw 30th, Pendleton, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225276124.

Contact Information

Kelli Ann Peterson, RN
73265 Confederated Way,
Pendleton, OR 97801
(541) 966-9830
Not Available



Provider's Profile

Full NameKelli Ann Peterson
GenderFemale
SpecialityLicensed Practical Nurse
Location73265 Confederated Way, Pendleton, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225276124
  • Provider Enumeration Date: 01/30/2009
  • Last Update Date: 01/30/2009

Medical Identifiers

Medical identifiers for Kelli Ann Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225276124NPI-NPPES
171037MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 200843278RN (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli Ann Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelli Ann Peterson, RN
1011 Sw 30th,
Pendleton, OR 97801

Ph: (541) 310-9100
Kelli Ann Peterson, RN
73265 Confederated Way,
Pendleton, OR 97801

Ph: (541) 966-9830

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› Verified 4 days ago


Licensed Practical Nurse Nurses in Pendleton, OR

Anthony Christopher Bass, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 707 Sw 37th St, Pendleton, OR 97801
Phone: 541-276-3374    Fax: 541-276-5326
Ms. Cheri Kay Rosenberg, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 73265 Confederated Way, Pendleton, OR 97801
Phone: 541-966-9830    Fax: 541-278-7572
Ms. Stacey Marie Jones, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 73265 Confederated Way, Pendleton, OR 97801
Phone: 541-966-9830    
Christina Mascak, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 73265 Confederated Way, Pendleton, OR 97801
Phone: 541-966-9830    
Sheffie Dan Surber Jr., LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2575 Westgate Bldg 13, Pendleton, OR 97801
Phone: 541-429-8721    Fax: 541-429-8720
Fred H Thomas Iii, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 331 Se 2nd St, Pendleton, OR 97801
Phone: 541-889-9167    Fax: 541-889-7873

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